突入鼓室的高位颈静脉球：一名聋儿的纵向放射学研究

IF 17.7 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-11-01 Epub Date: 2022-02-23 DOI:10.1177/01455613221079494

Keishi Ueda, Hiroshi Yamazaki, Tetsuhiko Michida, Shogo Shinohara, Yasushi Naito

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引用次数: 0

摘要

背景：高位骑跨颈静脉球（HRJB）在 2 岁以后才会出现，在较小年龄段则很少见。高位骑跨颈静脉球有时会突入鼓室，在耳科手术中可能会引起出血性并发症：我们描述了一名先天性耳聋患儿，双侧内耳畸形，9 个月时 CT 显示右侧 HRJB。该患儿在 19 个月时接受了左侧人工耳蜗植入术（CI），并计划在 6 岁时接受右侧人工耳蜗植入术。但是，我们决定不进行右侧人工耳蜗植入术，因为术前 CT 图像显示右侧颈静脉球（JB）增大并突入鼓室，完全覆盖了圆窗（RW）：这是首个通过纵向 CT 扫描证明 HRJB 随时间发展和突出的儿科病例。这些发现表明，HRJB 形成越早，可能长得越大。我们必须牢记 HRJB 增大和突出的可能性。

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High Riding Jugular Bulb Protruding Into Tympanic Cavity: Longitudinal Radiologic Study in a Deaf Child.

Background: High riding jugular bulb (HRJB) develops after 2 years and is rare at younger ages. High riding jugular bulb sometimes protrudes into the tympanic cavity, which can cause hemorrhagic complications during otologic surgery.

Case presentation: We describe a congenitally deaf child with bilateral inner ear malformations and a right-sided HRJB on CT at 9 months. This child had undergone left cochlear implantation (CI) at 19 months, and right CI was planned at 6 years. However, we decided not to perform the right CI because preoperative CT images revealed that the right jugular bulb (JB) was enlarged and protruded into the tympanic cavity, completely covering the round window (RW).

Conclusion: This is the first pediatric case in which a longitudinal CT scan proves that HRJB develops and protrudes over time. These findings suggest that the earlier the HRJB forms, the larger it may grow. We must keep in mind the possibility of the enlargement and protrusion of HRJB.

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.